Sr. PL Claims Examiner

At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients.

As a Senior Examiner in our Professional Liability unit, you're at the heart of the company’s business operations. You will use your knowledge and experience to balance the needs of Coaction’s customers and business. You are a top performer with excellent investigation, organizational and analytical skills. You understand just how important this role is to the function of Coaction’s overall business and this is what encourages you to bring your a-game every day. You love what you do and you enjoy the daily interactions with both Coaction’s customers and partners as well as your colleagues. You additionally possess strong business judgment and have the communication skills necessary to interact with a variety of people in different situations and at all professional levels. You thrive in our fast-paced environment, embrace challenges and are flexible enough to be successful in a dynamic and growing organization.

Responsibilities:

• Manages pending claims, from inception through resolution, under Financial Institutions, Directors & Officers, Employment Practices, and Errors & Omissions Policies, with the opportunity to manage Commercial Crime and Fidelity Bond Claims.      

• Complies with established claims handling guidelines and industry best practices with a minimal amount of supervision.

• Experience interpreting coverage under various Policy forms, and managing coverage litigation if necessary.

• Prepares and issues appropriate coverage letters as necessary, investigates coverage and claims in a timely manner, and maintains claim files in accordance with company protocols and industry best practices.

• Promptly identifies claims with a potential for high exposure, and presents same to management.

• Sets accurate reserves on each claim within given authority level and promptly brings claims that will require reserves in excess of their authority to their supervisor’s attention. 

• Completes timely and high-quality large claim reports with some management input and editing.

• Maintains a diary system that assures that each assigned claim will receive necessary ongoing attention. 

• Travels to attend mediations, settlement conferences and trials as needed. 

• Uses the claims system to accurately change reserves and make payments within assigned authority levels

• Closely manages defense counsel and the litigation process to ensure that loss adjustment expenses are appropriate.

• Collaborates with members of other departments to discuss specific claim details or general claims issues. 

• May be designated as claims contact for key accounts and programs in which case the Examiner will perform various account or program management tasks including: Preparing for and attending claim reviews; Analyzing claims data and meeting with members of other departments to discuss the account status; and/or Meeting with and making presentations to account or program representatives.

• Obtains or maintains adjuster licenses and continuing education requirements in states agreed upon with manager.

• May be called upon to perform other tasks and duties within the claims department as dictated by business needs.

Qualifications:

• 5-10 years experience handling commercial claims

• Experience handling Financial Institutions, Management Liability, Directors & Officers, Employment Practices, Miscellaneous E&O claims, and/or Fidelity/Crime claims

• JD strongly preferred but not required.

**This is not a fully remote position. Applicants must sit in either our Morristown, NJ or NYC offices on our hybrid work schedule.**

Salary range specific to for this role: $103,000-150,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance. The offered rate of compensation will be based on individual education, experience, and qualifications.  In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement. 

Equal Opportunity Employer

Coaction is an Equal Employment Opportunity employer. Coaction’s policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories.

If your application is selected, you will receive an email directly from the Coaction Recruiting Team at [email protected] asking you to contact a member of the Coaction Recruiting Team. Any other method of contact may be fraudulent.